颅脑损伤部位及程度与日常生活活动能力的相关性

目的：研究颅脑损伤部位及程度与日常生活活动能力的相关性，为提高鉴定意见的准确性提供理论依据。方法选取颅脑损伤被鉴定人501例，详细记录其伤前情况、损伤部位及程度、治疗方式、教育程度，应用日常生活活动能力量表（Barthel指数）对被鉴定人进行测验，统计损伤部位及程度与Barthel指数的相关性。结果轻度颅脑损伤组各损伤部位Barthel指数差异无统计学意义（P〉0.05）；中度颅脑损伤组蛛网膜下腔出血与其他脑叶损伤，顶、枕叶损伤与额叶损伤，顶、枕叶损伤与颞叶损伤间Barthel指数差异均具有统计学意义（P〈0.05），额叶损伤与颞叶损伤Barthel指数差异无统计学意义（P〉0.05）；重度颅脑损伤不论手术与否，各颅脑损伤部位的Barthel指数两两之间差异均有统计学意义（P〈0.05）。结论颅脑损伤部位与Barthel指数存在一定相关性，对分析判断颅脑损伤后日常生活活动能力具有重要的参考价值。

Correlation of Daily Living Activities with Location and Severity of Traumatic Brain Injury

Objective T o study the correlation of daily living activities with location and severity of trau-m atic brain injury （TBI） and to provide a theoretical basis for im proving the accuracy of expert opinion. Methods Five hundred and one cases of patients with TBI were selected. D etailed records included fol-lowing： pre-injury situation, location and severity of injury, treatm ent and education. D aily living activi-ties scale （B arthel index） was applied to test the subjects’daily living activities. T he relevance am ong location and severity of TBI and B arthel index was statistically analyzed. Results In m ild TBI group, there wasnosignificantdifferenceinBarthelindex among each location （P〉0.05）.Inmoderate TBIgroup, there were significant differences in B arthel index between subarachnoid hem orrhage and cerebral lobe injury, also between parietal, occipital lobes injury and frontal lobe injury, parietal, occipital lobes injury and temporallobe（P〈0.05）,respectively,whereasnosignificantdifference in Barthelindexbetween frontal lobe injury and tem poral lobe injury （P〉0.05）.In severe TBI,there were significant differences in Barthel index between every two different locations （P〈0.05）. Conclusion T here is som e correlation between the location of TBI and B arthel index, which provides an im portant reference value for analyzing and deter-m ining daily living activities after TBI.